Central nervous system involvement has not been reported previously as a manifestation of sarcoidosis in monozygotic twins. Twin sisters developed multiple cranial nerve palsies and papilloedema within a two month period. Clinical features and the course of their diseases were remarkably similar.

We present an unusual case of a 20-year-old woman with a left-sided infected branchial cyst causing an ipsilateral 12th nerve palsy. This resolved upon excision of the cyst. Branchial cysts, infected or otherwise, should be high in the differential of a lateral cystic neck mass. This and other cases discussed demonstrate that the presence of cranial nerve palsies does not necessarily indicate a...

Prostate cancer is the most frequently diagnosed solid organ cancer in men and is the second leading cause of cancer-related deaths in men in the United Kingdom. Commonly, it metastasizes to bones and lymph nodes, however, in advanced hormonerefractory disease it may involve the skull base leading to associated cranial nerve palsies. Cranial nerve palsy as the presenting feature of advanced hor...

Unruptured posterior communicating artery (PCOM) aneurysms can be difficult to diagnose and, when large (≥ 7mm), represent a substantial risk to the patient. While most unruptured PCOM aneurysms are asymptomatic, when symptoms do occur, clinical manifestations typically include severe headache (HA), visual acuity loss, and cranial nerve deficit. This case report describes an atypical initial pr...

Dysarthria, dysphagia and repeated aspiration in a 54-year-old woman diagnosed and treated for myasthenia gravis 7 years earlier were initially thought to represent a late exacerbation of myasthenia. A cervical mass invading the jugular foramen and causing multiple lower cranial nerve palsies was biopsied and found to represent invasive ectopic thymoma.

Papilloedema, multiple cranial nerve palsies, and autonomic nervous system dysfunction have become increasingly well recognized as occurring in the Guillain-Barre syndrome. Such a patient was recently encountered in whom the additional presenting feature of severe bilateral exophthalmos led to delay in reaching the correct diagnosis. Because of this delay and ensuing respiratory complications, ...

We report a recent diabetic who presented with hyperglycemic, hyperosmolar, non ketotic state with coma and multiple cranial nerve palsies due to an associated previously undetected sinus infection. This is a classic case revisited purely for its educational value in terms of clinical photographs, tissue biopsy and imaging findings. These findings reiterate the devastating neurological conseque...

A 31-year-old male was presented with a very rare case of ipsilateral palsies of the nerves IX through XII (Collet-Sicard syndrome) after a closed head injury. An occipital condyle fracture that was associated with epidural hematoma was diagnosed by computed tomography. The patient was conservatively managed, and following the treatment, partial neurological recovery ensued. The phenomenon of o...

PURPOSE To assess the utility of MR in third cranial nerve palsy. METHODS We reviewed precontrast and postcontrast MR of 50 patients with third cranial nerve palsy. RESULTS MR demonstrated an appropriate lesion in 32 cases. Of these patients, 6 had brain stem lesions and 15 had involvement of the nerve in the cavernous sinus; lesions of the cisternal segment of the nerve were present in 11 ...